Jackson, Gabrielle
Jackson, Gabrielle is an sole proprietor health care provider with primary practice located at 904 Springbrook Trl Se , Smyrna GA 30082-3151. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Gabrielle can be contacted via phone (229) 854-8142.Contact Information
Primary practice address
904 Springbrook Trl Se
Smyrna GA 30082-3151
Phone: (229) 854-8142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1144890161 |
|---|---|
| LBN Legal business name | Jackson, Gabrielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2021 |
| Last updated | Jun 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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